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While new regulatory mandates and payer requirements are making case management essential, case managers are still not getting the recognition they deserve in the form of increased compensation.
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Taconic Professional Resources embeds case managers in 74 practices in the Capital District-Hudson Valley area in New York as part of the Centers for Medicare & Medicaid Services' Comprehensive Primary Care Initiative.
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The current emphasis on care coordination and improved transitions means new opportunities for case managers.
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At Passport Health Plan, one team of case managers helps patients with short-term needs such as transportation assistance, the health plan's complex case managers provide long-term care coordination, and case managers embedded in clinics meet members face to face.
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As part of Cigna's Collaborative Accountable Care initiative, physician practices hire care coordinators who work with patients on following their treatment plan and link them to Cigna resources when needed.
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It is not surprising that in the competitive healthcare marketplace, for some facilities, getting the stamp of approval from The Joint Commission just isn't enough.
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The age of the process measure may be nearing its end, or at least the end of its heyday.
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Make sure your analysis can fix a problem.
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When an emergency physician (EP) receives notice of a lawsuit, the plaintiff often turns out not to be the first patient who comes to mind.